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Paper| Volume 26, ISSUE 5, P291-297, June 1995

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The results of surgical management of displaced tibial plateau fractures in the elderly

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      Abstract

      We retrospectively reviewed 32 elderly patients (mean age 71.7 years, range 66–83 years) with displaced tibial plateau fractures after a mean of 3.7 years (range 1–7 years) after operative treatment. Schatzker type 2 fracture was the commonest pattern of fracture (60.3 per cent). According to the modified Rasmussen clinical and radiographic criteria, there were nine excellent, 14 good, five fair and four poor results clinically, and 11 excellent, 12 good, six fair and three poor results radiographically. There was no significant correlation between the final radiographic appearance and clinical outcome. Fourteen patients mobilized postoperatively on a continuous passive motion machine followed by a cast brace had a better result than those mobilized in a cast brace alone, but the difference was not statistically significant (P = 0.29). Postoperative complications included deep vein thrombosis in two patients.
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      References

        • Apley A
        Fractures of the lateral tibial condyle treated by skeletal traction and early mobilization: a review of sixty five cases with special reference to the long-term results.
        J Bone Joint Surg [Br]. 1956; 38B: 699
        • Apley A
        Fractures of the tibial plateau.
        Orthop Clinics North Am. 1979; 10: 61
        • Duwelius PJ
        • Connolly JF
        Closed reduction of tibial plateau fractures: a comparison of functional and roentgen-ographic end results.
        Clin Orthop Rel Res. 1988; 230: 116
        • DeCoster TA
        • Nepola JV
        • El-Khoury GY
        Cast brace treatment of proximal tibia fractures: a ten year follow-up study.
        Clin Orthop Rel Res. 1988; 231: 196
        • Lachiewicz PF
        • Funcik T
        Factors influencing the results of open reduction and internal fixation of tibial plateau fractures.
        Clin Orthop Rel Res. 1990; 259: 210
        • Mallik AR
        • Coval DJ
        • Whitelaw GP
        Internal versus external fixation of bicondylar tibial plateau fractures.
        Orthop Rev. 1992; 21: 1433
        • Stokel EA
        • Sadasivan KK
        Tibial plateau fractures: standardized evaluation of operative results.
        Orthopaedics. 1991; 14: 263
        • Tscherne H
        • Lobenhoffer P
        Tibial plateau fractures: management and expected results.
        Clin Orthop Rel Res. 1993; 292: 87
        • Schatzker J
        • McBroom R
        • Bruce D
        The tibial plateau fractures: the Toronto experience 1968–1975.
        Clin Orthop Rel Res. 1979; 138: 94
        • Schatzker J
        Tibial plateau fractures.
        in: 3rd Edn. Skeletal Trauma: Fractures, Dislocations, Ligamentous Injuries. Vol. 2. WB Saunders, Philadelphia1992: 1745
        • Shybut GT
        • Spiegel PG
        Tibial plateau fractures (editorial).
        Clin Orthop Rel Res. 1979; 138: 12
        • Rasmussen P
        Tibial condylar fractures: impairment of knee joint stability as an indication for surgical treatment.
        J Bone Joint Surg [Am]. 1973; 55A: 1331
        • Resnick D
        • Niwoyama G
        3rd Edn. Diagnosis of Bone and Joint Disorders. Saunders, Philadelphia1981: 1276
        • Maheson M
        • Colton CL
        Fractures of the tibial plateau in Nottingham.
        Injury. 1988; 19: 324
        • Delamarter R
        • Hohl M
        • Hopp Jr, E
        Ligament injuries associated with tibial plateau fractures.
        Clin Orthop Rel Res. 1990; 250: 226
        • Anglen JO
        • Healy WL
        Tibial plateau fractures.
        Orthopaedics. 1988; 11: 1527
        • Honkonen SE
        Indications for surgical treatment of tibial condyle fractures.
        Clin Orthop Rel Res. 1994; 302: 199
        • Honkonen SE
        • Jarvinen MJ
        Classification of fractures of the tibial condyles.
        J Bone Joint Surg [Br]. 1992; 74B: 840
        • Scotland T
        • Wardlaw D
        The use of cast bracing as treatment for fractures of the tibial plateau.
        J Bone Joint Surg [Br]. 1982; 63B: 575
        • Segal D
        • Mallik AR
        • Wetzler MJ
        • Franchi AV
        • Whitelaw GP
        Early weight bearing of lateral tibial plateau fractures.
        Clin Orthop Rel Res. 1993; 294: 232